Supomo Supomo, Hartopo Anggoro Budi, Anggrahini Dyah Wulan, Darmawan Handy, Dinarti Lucia Kris
Thoracic and Cardiovascular Surgery Division, Dr. Sardjito General Hospital, Universitas Gadjah Mada.
Department of Surgery and Department of Cardiology and Vascular Medicine, Dr. Sardjito General Hospital, Universitas Gadjah Mada.
Korean J Thorac Cardiovasc Surg. 2017 Oct;50(5):378-381. doi: 10.5090/kjtcs.2017.50.5.378. Epub 2017 Oct 5.
Patients with an atrial septal defect (ASD) and severe pulmonary arterial hypertension (PAH) are considered ineligible for defect closure surgery because of the risk of right ventricular decompensation and death after the operation. We report the case of a patient with large ASD and severe PAH who was able to undergo defect closure surgery successfully following long-term use of combined oral sildenafil and beraprost.
患有房间隔缺损(ASD)和重度肺动脉高压(PAH)的患者,由于术后存在右心室失代偿和死亡风险,被认为不适合进行缺损闭合手术。我们报告了一例患有大型ASD和重度PAH的患者,该患者在长期联合口服西地那非和贝拉前列素后成功接受了缺损闭合手术。